Interpersonal Therapy-Based Treatment to Prevent Postpartum Depression in Adolescent Mothers

Not Applicable

Completed

• Conditions: Depression
• Interventions: Behavioral: Interpersonal therapy-based treatment; Behavioral: Standard care

• Registration Number: NCT00436150
• Lead Sponsor: Women and Infants Hospital of Rhode Island

Brief Summary

This study will aim to prevent postpartum depression in pregnant teenagers through an interpersonal therapy-based program.

Detailed Description

Postpartum depression is believed to be one of the most common complications after pregnancy. This type of depression often occurs within the first year after the baby is born and is most likely caused by dramatic changes in hormone levels after pregnancy. Pregnant teenagers are even more at risk for experiencing complications throughout pregnancy and parenting difficulties after delivery. Minimal research has been done on preventive ways to reduce postpartum depression in teenagers. Therefore, this study will evaluate the effectiveness of an interpersonal therapy-based program at preventing postpartum depression in financially disadvantaged pregnant teenagers.

Participants will first undergo a 15-minute interview about their background and emotions. Participants will undergo a second interview and then be randomly assigned to receive either interpersonal therapy-based treatment or standard care. Participants assigned to receive interpersonal therapy-based treatment will focus on the psychological aspects of pregnancy and factors that may play a role in the development of postpartum depression in teenage mothers, such as poor social support, role transitions, and life stressors. Participants assigned to receive standard care will focus more on the health issues associated with pregnancy and postpartum. Both groups will attend weekly 1-hour sessions for 5 weeks. Homework may be assigned to review topics discussed, and all participants will receive the book Baby Basics. Following treatment, participants will meet with researchers again when they are 34 to 36 weeks pregnant; in the hospital after the baby is born; and 6, 12, and 24 weeks after the baby is born.

Study Timeline

• Study Start: 2007-02
• Study First Submitted: 2007-02-14
• Study First Submitted QC: 2007-02-14
• Study First Posted: 2007-02-16
• Primary Completion: 2009-09
• Study Completion: 2009-09
• Status Verified: 2013-03
• Last Update Submitted: 2013-03-08
• Last Update Posted: 2013-03-12

Recruitment & Eligibility

• Status: COMPLETED
• Sex: Female
• Target Recruitment: 106

Inclusion Criteria

• Less than 24 weeks pregnant
• Not currently being treated for depression
• Speaks and reads English fluently

Exclusion Criteria

• Currently receiving mental health services from a health care provider
• Meets DSM-IV criteria for an affective disorder, substance use disorder, or psychosis

Study & Design

• Study Type: INTERVENTIONAL
• Study Design: PARALLEL

Arm && Interventions

Group	Intervention	Description
A	Interpersonal therapy-based treatment	Participants will receive interpersonal therapy-based treatment
B	Standard care	Participants will receive standard care

Primary Outcome Measures

Name	Time	Method
Postpartum depression diagnosis	Measured at pretreatment; Weeks 34 to 36 during pregnancy; hospital stay after delivery; and Weeks 6, 12, and 24 postpartum

Secondary Outcome Measures

Name	Time	Method
Degree of depressive symptoms	Measured at pretreatment; Weeks 34 to 36 during pregnancy; hospital stay after delivery; and Weeks 6, 12, and 24 postpartum
Prenatal distress	Measured at pretreatment; Weeks 34 to 36 during pregnancy; hospital stay after delivery; and Weeks 6, 12, and 24 postpartum
Social support	Measured at pretreatment; Weeks 34 to 36 during pregnancy; hospital stay after delivery; and Weeks 6, 12, and 24 postpartum

Trial Locations

Locations (1)

Women & Infants Hospital of Rhode Island; 🇺🇸 Providence, Rhode Island, United States